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�R��a ���� <br /> New Construction Energy Code Compliance Certificate <br /> Date Cey��//tificatt��e Pos <br /> Per R401.3 CeRificate.A building certificate shall be posted on or in the electrical distribution panel. L� /�2 /,� <br /> Maili�Address o the Dwelling or Dwelling Unit City ! ( / l � <br /> 1� s' S rv � �l��►JU �� <br /> Name of Residential Contractor �License Number #" <br /> �- -;,�,� C�,v •� � �� CJ '7(� . . <br /> THERMAL ENVELOPE RADON CONTROL SYSTEM <br /> Type:Check All That Apply Passive(No Fan) <br /> o � <br /> or other system monitoring <br /> y C <br /> T T Location(or future location)of Fan: <br /> � � N // <br /> .C] T I l. <br /> � U C N � _ � a d <br /> o �n 3 � U � o � � <br /> a � cv a <br /> 7 Q m m � C � 7 T <br /> � O tn N O d LL U <br /> Insulation Location � �� o � � v O @ w N <br /> N U� ► .--� � E �, :� -� <br /> � N 0 � � 0 � C � m <br /> r � z i� ii � u. � � � Other Please Describe Here <br /> Below Entire Slab <br /> Foundation Wall � �" <br /> Perimeter of Slab on Grade <br /> Rim Joist(1st Floor) ;7 � <br /> Rim Joist(2nd Floor+) <br /> Wall • ,� <br /> Ceiling.flat ti -y � ���-� i7 ' � <br /> Ceiling,vaulted /Z- y ��/�.v� �L�L' k <br /> Bay Windows or cantilevered areas <br /> Floors over unconditioned area � <br /> Describe other insulated areas <br /> IBuilding envelope air tightness: Duct system air tightness: <br /> Windows 8 Doors Heating or Cooling Ducts Outside Conditioned Spaces <br /> Average U-Factor(excludes skylights and one door)U: Not applicable,all ducts located in conditioned space <br /> Solar Heat Gain Coefficient(SHGC): R-value <br /> Make-up Air Select a Type <br /> Appliances Heating System Domestic Water Cooling System �r <br /> Heater /` Not required per mech.code <br /> Fuel TYpe ���1I�/�� /�/��7i�/�r'� �.',�.E �i,'�" Passive <br /> Manufacturer � "� �T' !�.�i .. ��t CA���� Powered <br /> �/� � Interlocked with exhaust device. <br /> Model ��' . { .�j ".'/'� C.-;"'1 ',}/"� ''�' Describe: <br /> Inpu in Capacity in Output .� Oth2�,describe: <br /> Rating or Size BTUS: ,;�,(, Gallons: St,j in Tons: � <br /> ��' _ <br /> AFUE or !� SEER t � Location of duct or system: <br /> E�ciency HSPF i� ,�� /EER � <br /> Heating Loss Heating Gain Cooling Load <br /> Residential Load Calculati <br /> �' ��� �� Z 73 �'S� Cfm's <br /> "round duct OR <br /> "metal duct <br /> Describe any additional or combined heating or cooling systems if installed:(e.g.two furnaces or air Combustion Air Select a Type <br /> source heat pump with gas back-up furnace): Not required per mech.code <br /> Se/ect Type Passive <br /> Heat Recover Ventilator(HRV) Capacity in cfms: Low: High: Other,describe: <br /> Energy Recover Ventilator(ERV)Capacity in cfms: Low: High: Location of duct or system: <br /> ealanced Ventilation capacity in cfms: M FC f.�. " ,�+'J <br /> Location of fan(s),describe: j��'„v� Cfm's <br /> Capacity continuous ventilation rate in cfms: "round duct OR <br /> Total ventilation(intermittent+continuous)rate in cfms: �G "metal duct <br /> Builders Associaton of Minnesota version 101014 <br />